评估医疗卫生工作者信息疫情管理知识、态度和实践工具（KAPIM 工具）的设计和心理测量特性。

Design and psychometric properties of a tool to assess the knowledge, attitude and practice of health care workers for infodemic management (KAPIM-Tool).

机构信息

Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid-Beheshti University of Medical Sciences, Tehran, Iran.

Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

出版信息

BMC Health Serv Res. 2023 Aug 8;23(1):839. doi: 10.1186/s12913-023-09822-9.

DOI:10.1186/s12913-023-09822-9

PMID:37553568

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10408167/

Abstract

BACKGROUND

Infodemics, defined as the rapid spread of misinformation during an epidemic or pandemic, can have serious public health consequences. Healthcare workers(HCWs) play a critical role in managing infodemics, but their knowledge, attitudes, and practices(KAP) related to infodemic management are not well understood. This study aimed to design and validate a tool to assess healthcare workers' KAP related to infodemic management.

METHODS

The knowledge, attitude, and practice of HCWs for the infodemic management assessment tool were designed through exploratory factor analysis. At first, primary items were extracted through two separate studies (face-to-face interviews with 17 participants and a systematic review). Then Face validity, Content validity, and Construct validity were done with the 15 participants of healthcare workers who had sufficient knowledge and experience. The content validity ratio (CVR) and content validity index (CVI) was checked for each item. The construct validity of the tool was also calculated through exploratory factor analysis with the participation of 250 healthcare workers (6.25 participants per item). The intraclass correlation coefficient (ICC), and Cronbach's alpha was calculated to evaluate the reliability of the findings using IBM SPSS Statistics V21.0.

RESULTS

The primary KAPIM (Knowledge, Attitude, and Practice) of healthcare workers in (the Infodemics Management) tool has 53 items, in content, face, and construct validity 13 items were removed. Factor analysis revealed three factors: knowledge (24 items), attitudes (8 items), and practice (8 items). The overall reliability of the tool was reported as adequate with a Cronbach's alpha of 0.905. The ICC of the entire tool was calculated as 0.827.

CONCLUSION

The KAPIM tool is a valid and reliable tool for assessing healthcare workers' knowledge, attitudes, and practices related to infodemic management with 40 items. The tool can inform targeted interventions to improve healthcare workers' preparedness and response to infodemics.

摘要

背景

信息疫情是指在疫情或大流行期间错误信息的快速传播，可能会对公共卫生产生严重后果。医疗保健工作者（HCWs）在管理信息疫情方面发挥着关键作用，但他们在信息疫情管理方面的知识、态度和实践（KAP）还没有得到很好的理解。本研究旨在设计和验证一种评估医疗保健工作者信息疫情管理知识、态度和实践的工具。

方法

通过探索性因素分析设计了医疗保健工作者信息疫情管理评估工具的知识、态度和实践。首先，通过两项独立的研究（对 17 名参与者进行面对面访谈和系统综述）提取主要项目。然后，对 15 名具有足够知识和经验的医疗保健工作者进行了表面效度、内容效度和结构效度。对每个项目进行内容效度比（CVR）和内容效度指数（CVI）检查。通过对 250 名医疗保健工作者（每个项目 6.25 名参与者）的参与进行探索性因素分析，计算了工具的结构效度。使用 IBM SPSS Statistics V21.0 计算了组内相关系数（ICC）和克朗巴赫的 alpha 以评估发现的可靠性。

结果

初级医疗保健工作者的 KAPIM（知识、态度和实践）工具共有 53 项，在内容、表面和结构效度方面，有 13 项被删除。因素分析显示有三个因素：知识（24 项）、态度（8 项）和实践（8 项）。该工具的整体可靠性被报告为适中，克朗巴赫的 alpha 为 0.905。整个工具的 ICC 计算为 0.827。